PHYSICIANS PREVENTION OF STD/HTLV III INFECTION

成人初级保健医生是主要的保健提供者 性活跃的成年人。 它们是必不可少的， 提供有关性病的预防建议和适当咨询 控制，长期以来一直是一个问题， 增加感染艾滋病毒的风险。 然而，这些医生 人们认为，预防知识比预防知识更缺乏。 治疗性传播疾病，包括艾滋病毒感染。 到 为了有效，初级保健医生可能需要新的知识 和技能。 据推测，一项教育计划， 关于艾滋病毒最新数据的书面材料和音像磁带材料 和性病史采取提供医生在他们的办公室将 更有效地增进知识和改变行为 而不仅仅是书面信息。 更有效的是 教育材料和一个预定的办公室访问， 模拟性活跃的病人，然后是书面反馈。 该项目将与初级保健从业人员一起完成， 内科医生和妇产科医生（N：3300）， 华盛顿，华盛顿特区大都市区，艾滋病高发区。 在教育之前将进行性病/艾滋病毒需求评估， 材料开发。 合格的医生将被随机 分为对照、低干预和高干预 小组，并将通过电话调查之前和之后， 教育干预。 结果将通过变化来衡量 在知识和所谓的行为作为衡量的反应， 调查表项目，以及性病实验室检测的变化 研究医生在每次访谈前一周。 数据 据报道，在华盛顿大都市， 在两次调查期间， 也可以从公共卫生机构收集。 该项目的具体目标是：1）记录初级 护理医生的经验、知识和行为有关艾滋病毒 感染和性病史。 2)发展教育 初级保健医生的材料。 创新评估 提高医生教育水平的教育计划 初级保健医生的材料。 研究结束后 将对教材进行评论、修订和制作， 为了更广泛的传播。

Primary care physicians for adults are the major care providers for the sexually active adult population. They are essential in providing preventive advice and appropriate counsel about STD control, long a problem which has become more urgent with increasing risk of HIV infection. However, these physicians are believed to be more deficient in knowledge of prevention than of cure of sexually-transmitted diseases, including HIV infection. To be effective, primary care physicians likely need new knowledge and skills. It is hypothesized that an education program of written, and audio-visual cassette materials on current HIV data and STD history taking provided physicians in their offices will be more effective in enhancing knowledge and changing behavior than written information only. More effective yet will be educationaly materials and a scheduled office visit from a simulated sexually active patient followed by written feedback. The project will be done with primary care practitioners, internists, and obstetrics an gynecology physicians (N:3300) in the Washington, D.C. metropolitan area, a high AIDS incidence area. An STD/HIV needs assessment will be done before educational materials are developed. Eligible physicians will be randomly allocated into control, low intervention and high intervention groups and will be surveyed by telephone before and after the educational interventions. Outcome will be measured by changes in knowledge and purported behavior as measured by responses to questionnaire items, and changes in laboratory testing for STD of study physicians for the week prior to each interview. Data on reported gonorrhea and syphillis in the Washington metropolitan area and a control area during the time of the two surveys will also be collected from public health agencies. Specific aims of this project are: 1) Documentation of primary care physician experience, knowledge and behavior regarding HIV infections and STD history taking. 2) Development of educational materials for primary care physicians. Assessment of innovative educational programs for improving physicians' educational materials for primary care physicians. Following the study educational materials will be critiqued and revised and produced for wider dissemination.